APPLY FOR A Supplementary Gold Credit Card

Top Card Benefits

Extend the benefits of your Gold Credit Card membership to those close to you.

Have a question?

For assistance please call 1300 366 220

Before You Begin

Add someone to your Card Account and share your benefits with family members, friends or anyone else you choose. It's easy to apply and the process can be completed in just a few minutes.

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Yes, I would like to apply for a Supplementary Gold Credit Card. I have read and agree with the Declaration in respect to Supplementary Cards.

About You

Your American Express Card number *

Please provide us with your current American Express Card Number.

First Name *

Surname *

Date of Birth (DD/MM/YYYY) *Must be over 18 years of ageDate of Birth (DD/MM/YYYY) / Date of Birth (DD/MM/YYYY) / Date of Birth (DD/MM/YYYY)

We need this information to validate the Primary Cardmember's details.

Supplementary Card 1

Title *

Confirming the Supplementary Cardmember's name in full will ensure our records are correct and we can address you properly.

First Name *

Middle Name

Last Name *

Name on Card *This must contain their Surname (Maximum 20 characters).

You must select how you want the Supplementary Cardmember's name to appear on your Card by clicking on the dropdown box. The Supplementary Cardmember's surname must appear on the Card. If the Supplementary Cardmember has a long name, you may need to use just an initial and the Supplementary's Cardmember's surname.

Date of Birth (DD/MM/YYYY) *Must be over 18 years of ageDate of Birth (DD/MM/YYYY) / Date of Birth (DD/MM/YYYY) / Date of Birth (DD/MM/YYYY)

We need this information to validate your details.

Driver's Licence Number

Relationship to you *

Sorry we are unable to look up the address you have entered. Please enter the address in the section given belowSorry we are unable to process the address you have entered. Please enter the address in the section given belowWe are unable to process your application with a PO Box Address as it is not an acceptable address. Please enter a Non PO Box Address.

Address *

Type in your address and please select from the list.

Residential Street Address *

We need to know the Supplementary Cardmember's address to help with our credit checks.

Supplementary Card 2

Confirming the Supplementary Cardmember's name in full will ensure our records are correct and we can address you properly.

First Name *

Middle Name

Last Name *

Name on Card *This must contain their Surname (Maximum 20 characters).

You must select how you want the Supplementary Cardmember's name to appear on your Card by clicking on the dropdown box. The Supplementary Cardmember's surname must appear on the Card. If the Supplementary Cardmember has a long name, you may need to use just an initial and the Supplementary's Cardmember's surname.

Date of Birth (DD/MM/YYYY) *Must be over 18 years of ageDate of Birth (DD/MM/YYYY) / Date of Birth (DD/MM/YYYY) / Date of Birth (DD/MM/YYYY)

We need this information to validate the Supplementary Cardmember's details.

Driver's Licence Number

Relationship to you *

Sorry we are unable to look up the address you have entered. Please enter the address in the section given belowSorry we are unable to process the address you have entered. Please enter the address in the section given belowWe are unable to process your application with a PO Box Address as it is not an acceptable address. Please enter a Non PO Box Address.

Address *

Type in your address and please select from the list.

Residential Street Address *

We need to know the Supplementary Cardmember's address to help with our credit checks.